Healthcare Provider Details

I. General information

NPI: 1265336499
Provider Name (Legal Business Name): OAKLAND INTEGRATED HEALTHCARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48980 WOODWARD AVE STE 100
PONTIAC MI
48342-5034
US

IV. Provider business mailing address

1701 BALDWIN AVE STE 100
PONTIAC MI
48340-1168
US

V. Phone/Fax

Practice location:
  • Phone: 248-253-0523
  • Fax: 248-253-0542
Mailing address:
  • Phone: 248-253-0521
  • Fax: 248-253-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANTHONY JAY PLAS
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARM.D.
Phone: 248-253-0523